Provider Demographics
NPI:1952945545
Name:BURCH, ROBIN (GNA)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:BURCH
Suffix:
Gender:F
Credentials:GNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9207
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20916
Mailing Address - Country:US
Mailing Address - Phone:301-399-3018
Mailing Address - Fax:
Practice Address - Street 1:14117 BLAZER LN
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2323
Practice Address - Country:US
Practice Address - Phone:301-399-3018
Practice Address - Fax:301-603-2780
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion